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Published on: September 18, 2017
Diabetic cardiomyopathy revisited
1Division of Endocrinology, Metabolism and Diabetes and Program in Human Molecular Biology and Genetics, University of Utah School of Medicine, Salt Lake City 84112, USA.
Insights
Diabetes mellitus significantly elevates heart failure risk, even without coronary artery disease. This review explores emerging mechanisms behind diabetic cardiomyopathy and cardiac dysfunction in diabetes.
Area of Science:
- Cardiology
- Endocrinology
- Pathophysiology
Background:
- Diabetes mellitus is a known risk factor for heart failure.
- Diabetic cardiomyopathy is increasingly recognized as a distinct clinical entity.
- The pathogenesis of cardiac dysfunction in diabetes is complex and multifactorial.
Purpose of the Study:
- To review the current understanding of cardiac dysfunction in diabetes mellitus.
- To discuss emerging mechanisms contributing to diabetic cardiomyopathy.
- To synthesize findings from human studies and animal models.
Main Methods:
- Literature review of recent studies on diabetes and cardiac dysfunction.
- Analysis of human clinical data and findings from animal models.
- Exploration of novel molecular and cellular pathways.
Main Results:
- Diabetes mellitus independently increases heart failure risk.
- Several factors contribute to cardiac dysfunction in diabetic individuals without coronary artery disease.
- Emerging mechanisms include metabolic alterations, inflammation, and oxidative stress.
Conclusions:
- Diabetic cardiomyopathy is a significant complication of diabetes mellitus.
- A deeper understanding of pathogenesis is crucial for developing targeted therapies.
- Further research into novel mechanisms is warranted to prevent and treat cardiac dysfunction in diabetes.
Abstract:
Diabetes mellitus increases the risk of heart failure independently of underlying coronary artery disease, and many believe that diabetes leads to cardiomyopathy. The underlying pathogenesis is partially understood. Several factors may contribute to the development of cardiac dysfunction in the absence of coronary artery disease in diabetes mellitus. This review discusses the latest findings in diabetic humans and in animal models and reviews emerging new mechanisms that may be involved in the development and progression of cardiac dysfunction in diabetes.
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